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Individual

DR. AMY BAXI DEROCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2013-00373
NC
207L00000X
Anesthesiology Physician
Primary
MD173660
OR

Other

Enumeration date
03/28/2008
Last updated
01/20/2017
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